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Aranberri Ruiz A, Nevado B, Migueles Seco M, Aritzeta Galán A. Heart Rate Variability Biofeedback Intervention Programme to Improve Attention in Primary Schools. Appl Psychophysiol Biofeedback 2024:10.1007/s10484-024-09659-w. [PMID: 39179947 DOI: 10.1007/s10484-024-09659-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/13/2024] [Indexed: 08/26/2024]
Abstract
The importance of attentional capacity for academic performance is highlighted by the increasing demands placed on students during primary school. Between the ages of 7 and 12, there is an evolutionary improvement in attentional capacity and the school environment is considered an appropriate setting in which to develop programmes to improve attention. Heart rate variability is an appropriate indicator of attentional capacity. For all these reasons, a heart rate variability biofeedback intervention focused on breathing was developed and implemented to improve attention. The intervention consisted of two phases. In the first phase, the school teachers were trained to develop the intervention; in the second, students received five individual sessions from their teachers. In each individual session, they learned to breathe to increase their heart rate variability. A total of 272 girls and 314 boys (N = 586) aged 7-12 years participated in the programme. To study the impact of the intervention on three primary school age groups, the attention of Control and Experimental groups was assessed before and after the implementation of the programme. According to the data obtained, despite developmental improvements, the students who participated in the programme showed an increase in heart rate variability and an improvement in attentional capacity, with a greater impact on the first cycle of primary school. The usefulness of heart rate variability biofeedback interventions in improving attention in primary school is discussed and arguments for their use in children are presented.
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Affiliation(s)
- Ainara Aranberri Ruiz
- Department of Basic Psychological Processes and their Development, Faculty of Psychology, University of the Basque Country UPV/EHU, Donostia-San Sebastián, Spain.
| | - Borja Nevado
- Department of Basic Psychological Processes and their Development, Faculty of Psychology, University of the Basque Country UPV/EHU, Donostia-San Sebastián, Spain
| | - Malen Migueles Seco
- Department of Basic Psychological Processes and their Development, Faculty of Psychology, University of the Basque Country UPV/EHU, Donostia-San Sebastián, Spain
| | - Aitor Aritzeta Galán
- Department of Basic Psychological Processes and their Development, Faculty of Psychology, University of the Basque Country UPV/EHU, Donostia-San Sebastián, Spain
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Tabrizi JS, Doshmangir L, Khoshmaram N, Shakibazadeh E, Abdolahi HM, Khabiri R. Key factors affecting health promoting behaviors among adolescents: a scoping review. BMC Health Serv Res 2024; 24:58. [PMID: 38212786 PMCID: PMC10782684 DOI: 10.1186/s12913-023-10510-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 12/20/2023] [Indexed: 01/13/2024] Open
Abstract
BACKGROUND Health-promoting behaviors have been noticed recently as one of the most critical factors in raising life expectancy, which can be formed during adolescence. Thus, the current scoping review aimed to identify the key factors affecting health-promoting behaviors among adolescents. METHODS In this scoping review, we searched multiple English online databases, including PubMed, Web of Science, Science Direct, ProQuest, and Scopus, for articles published between 1977 and 2020. All eligible studies describing health-promoting behaviors in adolescents were included. We followed the JBI guideline for conducting a scoping review and increasing the study's rigor. Extracted data were synthesized through inductive approaches. RESULTS A total of 3199 articles were identified during the first phase. After the screening process, 20 articles were found eligible for final inclusion. Educational factors (individualized education and school health promotion programs), Economic factors (income, economic incentives and national health insurance), Social factors (support system, responsibility and peers), Spiritual, Psychological and Personal factors (gender, family structure, patterns of living, and medical problems) were found effective in health-promoting behaviors among adolescents. CONCLUSIONS Health-promoting behaviors among adolescents require careful consideration. The current review identified some fundamental factors affecting health-promoting behaviors in adolescents. Based on the findings, it is recommended that policymakers and healthcare providers develop several interventions based on identified factors to increase adolescent's health-promoting behaviors among adolescents.
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Affiliation(s)
- Jafar Sadegh Tabrizi
- Tabriz Health Services Management Research Center, Health Management and Safety Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Doshmangir
- Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Najibeh Khoshmaram
- Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Elham Shakibazadeh
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Hosein Mashhadi Abdolahi
- Tabriz Health Services Management Research Center, Health Management and Safety Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Roghayeh Khabiri
- Tabriz Health Services Management Research Center, Health Management and Safety Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.
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Huang J, Keung VMW, Cheung CKM, Lo ASC, Chan SC, Pang WS, Mui LWH, Lee A, Wong MCS. Factors associated with mental health among Hong Kong children: A population-based study of 4884 individuals. Child Care Health Dev 2024; 50:e13196. [PMID: 37965880 DOI: 10.1111/cch.13196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Revised: 09/27/2023] [Accepted: 10/16/2023] [Indexed: 11/16/2023]
Abstract
BACKGROUND This cross-sectional study aimed to investigate the association between negative mental health conditions and demographic characteristics, socioeconomic background and health-related parameters in both Hong Kong's primary and secondary school students. METHODS A self-administrated survey was conducted and investigated the prevalence of negative mental health conditions (psychological stress, depression and suicidality) in students from 30 primary schools and 25 secondary schools in Hong Kong in 2017. The Kessler Psychological Distress Scale (K6) was chosen as the instrument to evaluate non-specific psychological distress. Depression was evaluated using the prolonged feeling of despair as a proxy. Suicidality was measured by four questions on whether they had ever intentionally injured themselves, seriously considered attempting suicide, planned how they would attempt suicide and had attempted suicide. Multiple logistic regression models examined the explanatory factors' association with mental health conditions after adjusting for confounding, using the enter method. RESULTS A total of 4884 responses were collected. It is found that both very high and low parent expectations were risk factors for multiple conditions, namely suicidality and psychological distress among primary school students, and psychological distress among secondary school students. As for primary school students, the experience of being bullied was a significant risk factor for all conditions. A significant association was found between having one's own bedroom and suicidality amongst primary school students; whilst having three close friends or more and higher life satisfaction levels were significantly associated with a lower risk of negative mental health conditions among secondary school students. CONCLUSIONS It was found that having one's own bedroom was a risk factor for suicidality among primary school student. Parents should be alert to the risky behaviours of children, have more involvement in children's daily life and build a supportive and caring family environment for children. For secondary school students, as the importance of friends is greatly increased, teachers should encourage students to engage in extra-curricular activities in school.
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Affiliation(s)
- Junjie Huang
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Vera M W Keung
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Calvin K M Cheung
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Amelia S C Lo
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Sze Chai Chan
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Wing Sze Pang
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Lancelot W H Mui
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Albert Lee
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
| | - Martin C S Wong
- Centre for Health Education and Health Promotion, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
- Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR
- The School of Public health, Peking University, Beijing, China
- The School of Public Health, The Chinese Academy of Medical Sciences and The Peking Union Medical Colleges, Beijing, China
- The School of Public Health, Fudan University, Shanghai, China
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Jakasania A, Lahariya C, Pandya C, Raut AV, Sharma R, K S, Mundra A, Kapoor JP, Khajuria S, Gupta SS. School Health Services in India: Status, Challenges and the Way Forward. Indian J Pediatr 2023; 90:116-124. [PMID: 37751041 DOI: 10.1007/s12098-023-04852-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 08/22/2023] [Indexed: 09/27/2023]
Abstract
Schools provide a crucial platform for health and well-being interventions targeting children and adolescents. Early promotive and preventive initiatives are vital for enabling children and adolescents to reach their optimal potential, thereby adding to the country's social return-on-investment, creating a favourable demographic dividend. This review analyses the evolution of school health initiatives in India, including the current curriculum proposed under the Ayushman Bharat program. The manuscript highlights the challenges, and gaps in implementation of the current school health programs and proposes potential pathways for bridging these gaps for promotion of adolescent well-being. The review also discusses the concept of Health Promoting Schools and suggests adaptations and key recommendations to Indian context regarding 'how' to translate it into on-field reality based on the appraisal of successful case studies from other countries. Though India started school health services more than 100 y ago, the school health programmes in most Indian states are weak and fragmented, with piecemeal health screening with minimal focus on health promotion and well-being. The recently launched School Health and Wellness initiative under the Ayushman Bharat program has lots of promise. However, it needs to be translated into effective implementation to prevent it from meeting the fate of its forerunner programs. The school health program needs to move beyond the screening centric approach and be aspirational and holistic in nature focusing upon the overall well-being of the adolescents. Concerted efforts through intersectoral convergence are needed to optimally utilise the platforms of schools for promotion of adolescent well-being.
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Affiliation(s)
- Arjunkumar Jakasania
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
| | - Chandrakant Lahariya
- Integrated Department of Health Policy, Epidemiology, Preventive Medicine and Pediatrics, Foundation for People-Centric Health Systems, New Delhi, 110029, India
| | - Chitra Pandya
- Medicine Beyond Classroom, c/o Varun Complete Healthcare, Vadodara, 390006, Gujarat, India.
| | - Abhishek V Raut
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
| | - Radhika Sharma
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
| | - Sophiya K
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
| | - Anuj Mundra
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
| | - Jai Pal Kapoor
- Senior Advisor, School Health Services, Foundation for People-centric Health Services, New Delhi, 110029, India
| | - Sindhuja Khajuria
- Centre for Health Communications, Foundation for People-Centric Health Systems, New Delhi, 110029, India
| | - Subodh S Gupta
- Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, 442001, Maharashtra, India
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Saadati F, Nadrian H, Ghassab-Abdollahi N, Pashazadeh F, Gilani N, Taghdisi MH. Indices/Indicators Developed to Evaluate the "Creating Supportive Environments" Mechanism of the Ottawa Charter for Health Promotion: A Setting-Based Review on Healthy Environment Indices/ Indicators. Korean J Fam Med 2023; 44:261-267. [PMID: 37434481 PMCID: PMC10522467 DOI: 10.4082/kjfm.22.0215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 02/10/2023] [Accepted: 03/08/2023] [Indexed: 07/13/2023] Open
Abstract
This study aimed to identify the indices/indicators used for evaluating the "creating supportive environments" mechanism of the Ottawa Charter for Health Promotion, with a focus on built environments, in different settings. A search for literature with no time limit constraint was performed across Medline (via PubMed), Scopus, and Embase databases. Search terms included "Ottawa Charter," "health promotion," "supportive environments," "built environments," "index," and "indicator." we included the studies conducted on developing, identifying, and/or measuring health promotion indices/indicators associated with "built environments" in different settings. The review articles were excluded. Extracted data included the type of instrument used for measuring the index/indicator, the number of items, participants, settings, the purpose of indices/indicators, and a minimum of two associated examples of the indices domains/indicators. The key definitions and summarized information from studies are presented in tables. In total, 281 studies were included in the review, within which 36 indices/indicators associated with "built environment" were identified. The majority of the studies (77%) were performed in developed countries. Based on their application in different settings, the indices/indicators were categorized into seven groups: (1) Healthy Cities (n=5), (2) Healthy Municipalities and Communities (n=18), (3) Healthy Markets (n=3), (4) Healthy Villages (n=1), (5) Healthy Workplaces (n=4), (6) Health-Promoting Schools (n=3), and (7) Healthy Hospitals (n=3). Health promotion specialists, health policymakers, and social health researchers can use this collection of indices/indicators while designing/evaluating interventions to create supportive environments for health in various settings.
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Affiliation(s)
- Fatemeh Saadati
- Department of Health Education & Promotion, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Haidar Nadrian
- Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Nafiseh Ghassab-Abdollahi
- Department of Geriatric Health, Faculty of Health Science, Tabriz University of Medical Science, Tabriz, Iran
| | - Fariba Pashazadeh
- Research Center for Evidence-Based Medicine, Tabriz University of Medical Science, Tabriz, Iran
| | - Neda Gilani
- Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mohammad-Hossein Taghdisi
- Department of Public Health, School of Health and Medical Engineering, Tehran Islamic Azad University of Medical Sciences, Tehran, Iran
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Nishio A, Shibuya F, de Los Reyes CS, Estrada CAM, Gregorio ER, Sari DP, Warnaini C, Kadriyan H, Cruz MSM, Hattori-Uchima M, Dacanay P, Dacanay R, Enos HL, Ngirmang TT, Khalif M, Volavola SG, Tomokawa S, Kigawa M, Kobayashi J. Content analysis of health-related subjects in the K12 school curricula of Japan, Indonesia, Philippines, Guam, Micronesia, Marshall Islands, Palau, and Fiji. Trop Med Health 2023; 51:19. [PMID: 36998001 PMCID: PMC10061405 DOI: 10.1186/s41182-023-00511-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 03/07/2023] [Indexed: 04/01/2023] Open
Abstract
BACKGROUND As a component of health promoting school, a school curriculum for health education was considered a fundamental. This survey aimed to identify the components of health-related topics and in which subjects were they taught. METHODS Four topics were chosen: (i) hygiene, (ii) mental health, (iii) nutrition-oral Health, and (iv) environmental education related to global warming in Education for Sustainable Development (ESD). Before gathering the curricula from partner countries, school health specialists were gathered to discuss the appropriate components of a curriculum that required evaluation. The survey sheet was distributed to and answered by our partner in each country. RESULTS About hygiene, individual practices or items that improve health-related were widely covered. However, items that imparted health-related education from an environmental perspective were not widely covered. About mental health, two types of country groups were identified. The first group included countries that taught mental health topics mainly as part of morals or religion; the second group included countries that imparted mental health topics mainly as part of health. The first group focused mainly on communication skills or coping methods. The second group focused not only on communication and coping skill but also on basic knowledge of mental health. About nutrition-oral education, three types of country groups were identified. One group imparted nutrition-oral education mainly in terms of health or nutrition. Another group imparted this topic mainly in terms of morals, home economics, and social science. The third group was the intermediate group. About ESD, a solid structure for this topic was not identified in any country. Many items were taught as part of science, while some were taught as part of social studies. Climate change was the most commonly taught item across all countries. The items related to environment were relatively limited compared to those related to natural disasters. CONCLUSIONS Overall, two different approaches were identified: the cultural-based approach, which promotes healthy behaviors as moral codes or community-friendly behaviors and the science-based approach, which promotes children's health through scientific perspectives. Policymakers should initially consider the findings of this study while making decisions on which approach should be taken.
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Affiliation(s)
- Akihiro Nishio
- Health Administration Center, Gifu University, Gifu, Japan.
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Sembaru, Japan.
- Japanese Consortium for Global School Health Research, Sembaru, Japan.
| | - Fumiko Shibuya
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Sembaru, Japan
- Japanese Consortium for Global School Health Research, Sembaru, Japan
| | - Calvin S de Los Reyes
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Sembaru, Japan
- Department of Behavioral Sciences, College of Arts and Sciences, University of the Philippines Manila, Manila, Philippines
| | - Crystal Amiel M Estrada
- Departments of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila, Manila, Philippines
- SEAMEO TROPMED Regional Centre for Public Health, Mataram, Philippines
| | - Ernesto R Gregorio
- SEAMEO TROPMED Regional Centre for Public Health, Mataram, Philippines
- Deparment of Health, Promotion and Education, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | | | - Cut Warnaini
- Faculty of Medicine, University of Mataram, Pohnpei, Indonesia
| | - Hamsu Kadriyan
- Faculty of Medicine, University of Mataram, Pohnpei, Indonesia
| | | | | | - Paul Dacanay
- College of Micronesia-FSM, Pohnpei, Federated States of Micronesia
| | - Rudelyn Dacanay
- College of Micronesia-FSM, Pohnpei, Federated States of Micronesia
| | - Hillia Langrine Enos
- Ministry of Health and Human Service of the Marshall Islands, Majuro, Marshall Islands
| | | | - Mohamed Khalif
- Ministry of Education, Heritage and Arts of Fiji, Suva, Fiji
| | - Saula Golea Volavola
- World Health Organization Representative Office for the South Pacific, Suva, Fiji
| | | | - Mika Kigawa
- Faculty of Health and Social Services, Kanagawa University of Human Services, Yokosuka, Japan
| | - Jun Kobayashi
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Sembaru, Japan
- Japanese Consortium for Global School Health Research, Sembaru, Japan
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AlZahrani SG. Healthy Schools Framework in Saudi Arabia: A Narrative Review. INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH AND ALLIED SCIENCES 2023. [DOI: 10.51847/lj2fbaa0vm] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Ashipala DO, Shapopi M. Factors affecting the provision of health service delivery in schools in Engela district, Ohangwena region, Namibia. Health SA 2022; 27:2010. [PMID: 36262923 PMCID: PMC9575342 DOI: 10.4102/hsag.v27i0.2010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 07/12/2022] [Indexed: 11/07/2022] Open
Abstract
Background While health services have been offered at various schools in Namibia since independence in 1990, coverage has been limited and there has been a notable decline in recent years. This reduction of services is of great concern, with questions being raised regarding what factors are affecting the provision of these services. Aim To explore the factors affecting the provision of health services to schools in Engela district, Ohangwena region, Namibia. Settings Semistructured interviews were conducted at a public health care facility situated in the northern part of Namibia. Methods A qualitative, explorative, descriptive and contextual research design was utilised. Data were collected through semistructured interviews with 15 nurses from a health centre, of whom five were enrolled nurses and 10 were registered nurses. The data were then analysed thematically. Results The study revealed three themes: participants’ understanding of school health services; factors affecting the delivery of school health services; and corrective measures for improving the delivery of school health services. Conclusion The notable decline in health service provision to various schools within the district suggests that there might be factors affecting the provision of school health services, posing a serious challenge to the active implementation of the School Health Programme. Contribution These findings could be used to make adjustments to the provision of school health services and will also serve as an information baseline to elicit suggestions for future research related to school health services.
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Affiliation(s)
- Daniel O. Ashipala
- Department of General Nursing Science, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, Namibia
| | - Miina Shapopi
- Department of General Nursing Science, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Windhoek, Namibia
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Nery NG, Jordão LMR, Freire MDCM. Educational quality and oral health promotion in Brazilian schools: a multilevel analysis of national data. Braz Oral Res 2022; 36:e040. [PMID: 35293505 DOI: 10.1590/1807-3107bor-2022.vol36.0040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Accepted: 09/10/2021] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to investigate whether educational quality is associated with schools' potential support for oral health promotion in Brazil, using a multilevel model. An ecological study was carried out using data from 940 public schools (school level) from the 27 Brazilian state capitals (city-level). The explanatory variable was educational quality, measured by the Basic Education Development Index (IDEB) for each city, and the four dependent variables referred to the Oral Health Promotion School Environment (OHPSE) indicator and its dimensions: Dimension 1 (In-school aspects), Dimension 2 (Aspects of the school surroundings), and Dimension 3 (Prohibitive policies at school). The OHPSE was developed using categorical principal components analysis (CATPCA) of data from the 2015 National Adolescent School-Based Health Survey (PeNSE). Covariates were human development index and oral health care coverage of cities. Multilevel Poisson regression models with robust variance were undertaken (p < 0.05). Bivariate associations were found between the IDEB and each Total OHPSE and OHPSE-Dimension 1 (In-school aspects: sale of foods with added sugar and health promotion actions/programs). After adjustment, IDEB (PR: 1.38, 95%CI: 1.01-1.90; p = 0.045) and oral health care coverage (PR: 1.01; 95%CI: 1.00-1.02; p = 0.001) remained associated with the OHPSE Dimension 1. It was concluded that educational quality measured by the IDEB was associated with schools' potential support for oral health promotion regarding the sale of foods with added sugar and health promotion actions/programs in schools.
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Affiliation(s)
- Newillames Gonçalves Nery
- Universidade Federal de Goiás, School of Dentistry, Postgraduate Program in Dentistry, Goiânia, GO, Brazil
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Sánchez-Hernando B, Gasch-Gallén Á, Antón-Solanas I, Gea-Caballero V, Juárez-Vela R, Gállego-Diéguez J, Carboneres-Tafaner MI, Echániz-Serrano E, Lasso-Olayo L, Santolalla-Arnedo I. A comparative study of life skills, lifestyle habits and academic performance in health promoting and non-health promoting schools in the Autonomous Community of Aragon, Spain. PeerJ 2022; 10:e13041. [PMID: 35265400 PMCID: PMC8900614 DOI: 10.7717/peerj.13041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 02/09/2022] [Indexed: 01/11/2023] Open
Abstract
Background There is insufficient evidence about the impact of health promoting schools on the student's health and academic performance. The aim of this study was to compare the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in health promoting and non-health promoting schools in the Autonomous Community of Aragon. Methods An observational, descriptive, comparative study of the life skills, lifestyle habits and academic performance of 7th and 8th grade students registered in 43 randomly selected health promoting and non-health promoting schools was carried out. We used an adapted tool, which was validated through the expert panel technique, to evaluate the students' life skills (self-efficacy, social skills and affect balance), lifestyle habits (diet, sleep, physical exercise, use of screen and substance abuse) and academic performance. Results The socioeconomic level of the mothers and fathers of the students who attended non-health promoting schools was significantly higher than that of the parents of the adolescents who attended health promoting schools (p < 0.001). The students who attended non-health promoting schools had better self-efficacy, led a healthier life generally and achieved better academic results (p = 0.03). Conclusions As opposed to previous studies, which found a positive association between health promoting schools and life skills, lifestyle habits and academic performance, our findings suggest that the impact of these health programs on the students' health and academic performance is limited. We recommend that the degree of implementation of health promotion programs in health promoting schools is systematically evaluated, and the health promoting school accreditation process and requirements reviewed, in order to ensure that the health of school children and adolescents is safeguarded and promoted in the short, medium and long term.
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Affiliation(s)
- Beatriz Sánchez-Hernando
- Health Center “Amparo Poch”, Aragon Health Care System, Zaragoza, Aragón, Spain,Aragón Health Research Institute, Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Zaragoza, Aragon, Spain
| | - Ángel Gasch-Gallén
- Aragón Health Research Institute, Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Zaragoza, Aragon, Spain,Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Aragón, Spain
| | - Isabel Antón-Solanas
- Aragón Health Research Institute, Nursing Research Group in Primary Care of Aragon (GIIS094-GENIAPA), Zaragoza, Aragon, Spain,Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Aragón, Spain
| | - Vicente Gea-Caballero
- PBM Research Group, Research Institute IdiPaz, Madrid, Madrid, Spain,Faculty of Health Sciences, International University of Valencia, Valencia, Spain
| | - Raúl Juárez-Vela
- PBM Research Group, Research Institute IdiPaz, Madrid, Madrid, Spain,School of Nursing., Research Group in Cares GRUPAC., Universidad de La Rioja, Logroño, La Rioja, Spain
| | - Javier Gállego-Diéguez
- Head of the Information, Transparency and Participation Service, Health Department., Government of Aragon, Zaragoza, Zaragoza, Spain
| | | | - Emmanuel Echániz-Serrano
- Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Aragón, Spain,Research Group Cultural Transferences and International Projection of Aragonese Culture (H27_20D- TRANSFERCULT), Zaragoza, Aragón, Spain
| | - Laura Lasso-Olayo
- Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Aragón, Spain
| | - Ivan Santolalla-Arnedo
- School of Nursing., Research Group in Cares GRUPAC., Universidad de La Rioja, Logroño, La Rioja, Spain
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Lee A, Keung VMW, Lau VTC, Cheung CKM, Lo ASC. Impact of COVID-19 on Life of Students: Case Study in Hong Kong. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:10483. [PMID: 34639783 PMCID: PMC8508172 DOI: 10.3390/ijerph181910483] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 09/29/2021] [Accepted: 09/30/2021] [Indexed: 12/29/2022]
Abstract
COVID-19 has an impact on the day-to-day life of students, with school closure and detrimental effects on health and well-being that cannot be underestimated. A study collected data reflecting the health and well-being of secondary school students entering a programme entitled "Healthy Life Planning: Assist Students to Acquire and Practice Health Knowledge and Skills" (ASAP study) in September and October 2019 before the outbreak of COVID-19. Follow-up data were collected in June and July 2020, over half a year since the spread of COVID-19, which facilitated analyses of its impact on the health behaviours and well-being of young people. Comparative analyses between baseline and the follow-up period were conducted on weight status, sleep pattern and quality, pattern of sedentary lifestyle, pattern of physical activity, attitudes and perceived barriers for exercise, and hand hygiene. Attitudes toward precautionary measures and influenza vaccination, self-reported changes in hygiene practices, exercise habits and eating habits were analysed. Although hygiene habits and risk perceptions among young people have improved in many aspects, the level of physical activity has declined as well as the beliefs and attitudes on increasing time on electronic media and change in sleep hygiene. Attitudes and beliefs towards influenza vaccination have declined, which would reflect the slow increase in the uptake rate of COVID-19 vaccination. Health education should equip students with the knowledge and skills to cultivate beliefs and attitudes to face health challenges.
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Affiliation(s)
- Albert Lee
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
- School of Public Health, Prince of Wales Hospital, Shatin, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, 4/Floor, School of Public Health, Prince of Wales Hospital, Shatin, Hong Kong, China
| | - Vera M. W. Keung
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Vincent T. C. Lau
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Calvin K. M. Cheung
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
| | - Amelia S. C. Lo
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4/Floor, Lek Yuen Health Centre, Shatin, Hong Kong, China; (V.M.W.K.); (V.T.C.L.); (C.K.M.C.); (A.S.C.L.)
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Serdà BC, Planas-Lladó A, delValle A, Soler-Masó P. Health promotion in secondary schools: participatory process for constructing a self-assessment tool. Health Promot Int 2021; 37:6338059. [PMID: 34343304 DOI: 10.1093/heapro/daab123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This article presents the process of constructing an effective self-assessment tool for monitoring health promotion in secondary schools (SS). The ultimate aim is to improve adolescents' well-being and quality of life in their reference environment. The design and validation of the instrument were based on participatory action research (involving students, professors, parents, health professionals, youth workers, youth directors, youth managers). A mixed quantitative and qualitative approach was adopted. The construction process included the following five consecutive stages: (i) steering-group creation and definition of objectives; (ii) diagnosing students' health and well-being in SS (case study); (iii) initial design and construction of health promotion indicators; (iv) validation based on expert judgement and (v) validation by means of a pilot test. The final construction of the self-assessment tool included 5 areas (healthy habits, affectivity and socialization, emotional well-being, safety and risks, and specific health situations), 9 objectives and 18 indicators deployed through a rubric. Each indicator is discussed in depth, specifying the most appropriate resources and health promotion activities for its application. The final self-assessment tool is designed to be sensitive to and effective for self-assessment of health promotion in SS. It contributes to improving adolescent health on an individual basis and also has an impact on the school environment. Finally, it also promotes analysis of the health content on the curriculum and the teaching-learning method(s) employed at the school. The self-assessment tool has been published open access and its implementation will continue to increase health promotion in SS in Catalonia.
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Affiliation(s)
- Bernat-Carles Serdà
- Health Sciences Research, Faculty of Nursing, University of Girona, Catalonia, Spain
| | - Anna Planas-Lladó
- Department of Pedagogy, Research Institute of Education, University of Girona, Catalonia, Spain
| | - Arantza delValle
- Psychology Department, University of Girona, Edifici Centre C/ Emili Grahit, 77 Campus Centre 17003 Girona, Catalonia, Spain
| | - Pere Soler-Masó
- Department of Pedagogy, Research Institute of Education, University of Girona, Catalonia, Spain
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Kostenius C, Nyström L. "When I feel well all over, I study and learn better" - experiences of good conditions for health and learning in schools in the Arctic region of Sweden. Int J Circumpolar Health 2021; 79:1788339. [PMID: 32663109 PMCID: PMC7480518 DOI: 10.1080/22423982.2020.1788339] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
A challenge facing the Arctic region is the disengagement of both education and work among its youth. Only by supporting young people who are struggling with mental and physical health challenges can we begin to address this societal challenge. Education, mental health and social inclusion are prominent factors for future employment, income and independent living for young people. The aim of this study was to describe and understand the experiences of good conditions for health and learning in schools in the Arctic region. The 5-D appreciative inquiry method was used to explore 47 students’ and professionals’ experiences and future visions of their school. A phenomenological analysis resulted in three themes: “Standing as one”, “Having an apple a day”, and “Finding the end of the rainbow”. The findings revealed the necessity of promoting health and learning simultaneously in school and viewing health holistically. Health-promoting relationships permeate the findings of good conditions for health and learning. We argue for considering mandatory health education to increase students’ health literacy and making student participation and staff collaboration a priority in schools in the Arctic region. These findings, their practical implications, and future research directions are discussed.
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Affiliation(s)
- Catrine Kostenius
- Department of Health Sciences, Luleå University of Technology , Luleå, Sweden
| | - Lena Nyström
- Norrbotten Association of Local Authorities , Luleå, Sweden
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Dadaczynski K, Hering T. Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2623. [PMID: 33807890 PMCID: PMC7967522 DOI: 10.3390/ijerph18052623] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 02/23/2021] [Accepted: 03/01/2021] [Indexed: 11/25/2022]
Abstract
Noncommunicable diseases (NCDs) and their underlying risk factors are seen as major public health problems that threaten health and welfare systems worldwide. The holistic and resource oriented Health Promoting School (HPS) approach can serve as an appropriate framework for the prevention and control of NCDs. The paper aimed to map the implementation of HPS activities in German schools and to examine associations with potential influencing factors. A series of cross-sectional online studies including five federal states and 5006 school principals (40.2% males, 50.8% females) from primary and secondary public schools was conducted from 2013 to 2018. Principal component analysis (PCA) resulted in two factors of HPS implementation (F1: concrete HPS action, F2: capacity building for HPS). Comparing both factors, a lower implementation level could be identified for HPS capacity building with lowest mean values found for regular teacher training and intersectoral collaboration. Multiple binary regression analyses revealed significant associations between low HPS implementation and male gender (OR: 1.36 to 1.42), younger age (OR: 1.47 to 1.90), secondary school (OR: 1.78 to 3.13) and federal state (Lower Saxony = OR: 1.27 to 1.45; Schleswig-Holstein = OR: 1.95 to 2.46). Moreover, low access to resources, decision-latitude and perceived educational benefits were independently associated with both factors of HPS implementation. Based on the results of this study, there is a need to support schools in their capacity building for health (e.g., regular teacher training, cooperation with local health services). Moreover, considering the core mission of schools, more evidence of the educational impact of health promotion and its translation into the language of education is needed for secondary schools in particular.
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Affiliation(s)
- Kevin Dadaczynski
- Department of Nursing and Health Science, Fulda University of Applied Sciences, 36037 Fulda, Germany
- Centre for Applied Health Science, Leuphana University Lueneburg, 21337 Lueneburg, Germany
| | - Thomas Hering
- Department of Applied Human Sciences, Magdeburg-Stendal University of Applied Sciences, 39676 Stendal, Germany;
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Sartipizadeh M, Yazdi-Feyzabadi V, Alipouri Sakha M, Zarrin A, Bazyar M, Zahirian Moghadam T, Zandian H. Evaluating the health promoting schools in Iran: across-sectional study. HEALTH EDUCATION 2021. [DOI: 10.1108/he-04-2020-0022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeHealth-promoting schools have been associated with improvements in the health status of students globally. This study is a secondary analysis study assessing Iranian HPSs.Design/methodology/approachThis was a cross-sectional study on routinely collected data using an external audit 63-item checklist, which was utilized to evaluate 440 HPSs between 2014 and 2017. The mean score for each of the checklists' components was calculated. Nonparametric tests were conducted to investigate the association between the presence of a school caregiver, students' educational level and the school's score.FindingsWhile the number of five- and four-star schools increased significantly, one- to three-star schools declined. Providing clinical and counseling services had negative growth. Despite the steady growth of the staff's health, this category still had the lowest score among; on the contrary, physical activity had the highest score in 2017. The presence of a full-time school caregiver and middle schools were both significantly correlated with achieving higher scores (p < 0.005).Originality/valueIt seems that in addition to developing school facilities to promote physical activities, measures should be taken to promote access to counseling services, considering health issues of students and staff and finally increasing the number of full-time school caregiver
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Lee A, Lo A, Li Q, Keung V, Kwong A. Health Promoting Schools: An Update. APPLIED HEALTH ECONOMICS AND HEALTH POLICY 2020; 18:605-623. [PMID: 32291699 PMCID: PMC7156290 DOI: 10.1007/s40258-020-00575-8] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
The concept of a Health Promoting School has been found to be effective to improve health and well-being of students as well as a help with teaching and learning in school. Effective implementation of Health Promoting School is a complex intervention involving multi-factorial and innovative activity in many domains such as curriculum, school environment and community. Many studies evaluating Health Promoting School do not include outcomes reflecting the organisational or structural change as many of those studies are quantitative in nature and the statistical assumptions are not valid reflecting the organisational structure changes. Recent global meetings of experts have reviewed the impact on student health from the perspectives of school environment, school policies on health, action competencies on healthy living and community linkage. The English Wessex Healthy School Award Scheme and the Hong Kong Healthy School Awards Scheme have developed detailed systems to analyse whether each individual school has reached the standard of a model Health Promoting School reflecting a more holistic appreciation and understanding of all the effects of school-based health promotion with positive award-related changes. However, not many schools are able to implement Health Promoting School in its entirety, so cores indicators are needed as a starting point for wider implementation. Hong Kong Healthy School Awards Scheme is still ongoing with data for analysis of indicators with significant correlation with better health and well-being. We identified the core indicators and substantiated the requirements for successful outcomes by supplementing the established award-scheme framework with a review of recent literature and documents. Framework of Health Promoting School would go beyond improvement of health literacy to enable a more efficient system for education and health on children, hence a good investment in children.
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Affiliation(s)
- Albert Lee
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong.
- JC School of Public Health, The Chinese University of Hong Kong, Shatin, Hong Kong.
| | - Amelia Lo
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong
| | - Queenie Li
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong
| | - Vera Keung
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong
| | - Amy Kwong
- Centre for Health Education and Health Promotion, The Chinese University of Hong Kong, 4th Floor, Lek Yuen Health Centre, Shatin, New Territory, Hong Kong
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Kazemitabar M, Moghadamzadeh A, Habibi M, Hakimzadeh R, Garcia D. School health assessment tools: a systematic review of measurement in primary schools. PeerJ 2020; 8:e9459. [PMID: 32742780 PMCID: PMC7380271 DOI: 10.7717/peerj.9459] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 06/09/2020] [Indexed: 12/02/2022] Open
Abstract
Background This systematic review aimed to investigate the psychometric properties of the school health’s assessment tools in primary schools through COSMIN Risk of Bias checklist. We examined the studies that have addressed the measurement properties of school-health instruments to give a clear overview of the quality of all available tools measuring school health in primary schools. This systematic review was registered in PROPERO with the Registration ID: CRD42020158158. Method Databases of EBSCOhost, PubMed, ProQuest, Wily, PROSPERO, and OpenGrey were systematically searched without any time limitation to find all full-text English journal articles studied at least one of the COSMIN checklist measurement properties of a school-health assessment tool in primary schools. The instruments should be constructed based on a school health model. The eligible studies were assessed by COSMIN Risk of Bias checklist to report their quality of methodology for each measurement property and for the whole study by rating high, moderate or low quality. Results At the final screening just seven studies remained for review. Four studies were tool development, three of them were rated as “adequate” and the other study as “very good”; five studies examined the content validity, three of them were appraised as “very good”, and the two remaining as “inadequate”. All seven studies measured structural validity, three of them were evaluated as “very good”, three other were scored as “adequate”, and the last study as “inadequate”. All the seven studies investigated the internal consistency, five of them were assessed as “very good”, one was rated as “doubtful”, and the last one as “inadequate”. Just one study examined the cross-cultural validity and was rated as “adequate”. Finally, all seven studies measured reliability, two of them were rated as “very good” and the rest five studies were appraised as “doubtful”. All rating was based on COSMIN checklist criteria for quality of measurement properties assessment. Conclusion The number of studies addressing school health assessment tools was very low and therefore not sufficient. Hence, there is a serious need to investigate the psychometric properties of the available instruments measuring school health at primary schools. Moreover, the studies included in the present systematic review did not fulfill all the criteria of the COSMIN checklist for assessing measurement properties. We suggest that future studies consider these criteria for measuring psychometric properties and developing school health assessment tools.
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Affiliation(s)
- Maryam Kazemitabar
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Ali Moghadamzadeh
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Mojtaba Habibi
- Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran
| | - Rezvan Hakimzadeh
- Department of Curriculum and Instruction, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran
| | - Danilo Garcia
- Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.,Blekinge Center of Competence, Region Blekinge, Karlskrona, Sweden.,Centre for Ethics, Law and Mental Health, University of Gothenburg, Gothenburg, Sweden.,Department of Psychology, University of Gothenburg, Gothenburg, Sweden.,Network for Well-Being, Sweden
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Groffik D, Fromel K, Badura P. Composition of weekly physical activity in adolescents by level of physical activity. BMC Public Health 2020; 20:562. [PMID: 32334549 PMCID: PMC7183676 DOI: 10.1186/s12889-020-08711-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 04/15/2020] [Indexed: 02/01/2023] Open
Abstract
Background Physical activity (PA) in adolescence is crucial for lifelong healthy lifestyle, and attention is needed to adolescents at health risk due to insufficient PA. This study investigates the composition of weekly PA in adolescents by PA level and provides a rationale for change in their lifestyles. Methods The research was conducted at 66 schools in Poland between 2009 and 2016, among 949 girls and 650 boys aged 15–18 years. We used pedometers to monitor weekly PA with data assessed using the Indares web app. The participants were split into three groups by mean daily step count (lower, < 9000; middle, 9000–12,999; and higher, ≥ 13,000 steps/day), as a reliable and non-expensive indicator of PA. Results We did not observe statistically significant differences in composition of 7-day PA between participants with varying levels of PA, regardless of their gender (F(12,9558) = 0.60; p = 0.841; ηp2 > 0.000). The smallest differences in daily step counts by PA level were found on Mondays and the biggest on Fridays and Saturdays, in boys and girls; the differences between average school and average weekend days were most pronounced in less active girls (1677 steps/day) and boys (1886 steps/day). During the school week, the highest proportion of less active girls met the 11,000 steps/day recommendation on Fridays (21.9%), statistically significantly less than on other school days (p < 0.001). Similarly, less active boys (22.2%) had significantly less activity on Fridays than on other school days, except for Mondays (p = 0.143) Analogous pattern was apparent also in more active adolescents. Conclusions Less active adolescents have comparable composition of weekly PA to the more active ones but they can hardly meet the generally accepted PA recommendations. Better understanding of weekly PA composition and rates of meeting PA recommendations by day of the week can lead to more efficient interventions improving lifestyles. The recommendation of 9000 steps/day most days of the week, thus, appears appropriate for less active adolescents, as a motivating achievable goal.
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Affiliation(s)
- Dorota Groffik
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland
| | - Karel Fromel
- Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education, Katowice, Poland.,Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Petr Badura
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic.
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On Time: A Qualitative Study of Swedish Students', Parents' and Teachers' Views on School Attendance, with a Focus on Tardiness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041430. [PMID: 32102207 PMCID: PMC7068317 DOI: 10.3390/ijerph17041430] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 02/19/2020] [Accepted: 02/19/2020] [Indexed: 11/17/2022]
Abstract
Tardiness is a common problem in many schools. It can be understood as an individual risk for future problematic behavior leading to absenteeism, school dropout, exclusion and later health problems. Tardiness can also be examined in relation to a broader social-ecological perspective on health. The aim of this study was to analyze students’, school staff’s and parents’ views on students’ tardiness in two Swedish schools. A focus group interview design was used with 21 school personnel, 21 students in grade nine and two parents. The data were analyzed by using thematic content analysis. The results illustrated the main theme—It depends on…—regarding what will happen if a student arrives late to school lessons. This finding is further explained by the subthemes about teachers’ signals and reactions and the responses from teachers and students. The conclusion showed the importance of organizing the school day more predictably for the students. Late arrival is a sign of shortcomings in a school organization. It is necessary to develop guidelines related to how to handle students’ late arrival based on predictable viewpoints but even more so on how to promote students’ sense of belonging and their interest in and motivation for going to school.
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Adolescent Health Literacy in Beijing and Melbourne: A Cross-Cultural Comparison. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041242. [PMID: 32075168 PMCID: PMC7068382 DOI: 10.3390/ijerph17041242] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 01/29/2020] [Accepted: 02/11/2020] [Indexed: 01/18/2023]
Abstract
While adolescent health literacy has gained momentum, it is under-researched from a cross-cultural perspective. This study aims to compare health literacy among two cultural groups of secondary students in Beijing and Melbourne. A cross-sectional study was conducted with 770 students from five secondary schools in Beijing and Melbourne. A self-administered questionnaire was designed to collect information on health literacy (the eight-item health literacy assessment tool (HLAT-8), the Newest Vital Sign (NVS) and the 47-item Health Literacy Survey (HLS-47)), its antecedents and health outcomes. Overall, students’ health literacy in Melbourne (n = 120) was higher than that in Beijing (n = 650): 28.25 ± 6.00 versus 26.37 ± 5.89 (HLAT-8); and 4.13 ± 1.73 versus 3.65 ± 1.64 (NVS). The proportion of students with low health literacy varied by instruments, representing 23.7–32.2% in Melbourne and 29.0%–45.5% in Beijing. In both cultural groups, students’ self-efficacy, social support, and perceptions of school environment were associated with their health literacy, which in turn predicted their health behaviours, patient-provider communication and health status. Given the nature of our study design and small samples, a cautious conclusion would be that adolescent health literacy is sensitive to the broad cultural context and might be an interactive outcome influenced by an individual’s health skills and the social environment. Particularly, creating a supportive school environment is critical to develop adolescent health literacy that would eventually contribute to better health outcomes.
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School health programs, a chance for a healthier future generation. PEDIATRU.RO 2019. [DOI: 10.26416/pedi.56.4.2019.2795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
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